4752 Flora Dr,
CITY OF EAGAN
-.•'' 3795 Piiat Knob Road Eagan, MN
PHONEs 434-8100
BUILDING PERMIT
To be wed For Est. Value •
Site Address . ° Erect
Lot Block Sec/Sub. Alter
Parcel #
oc Nome
W i .S
3 Addross , ,?_?F?}'' ,.r_: 1'?•C?; .: .':"?<
p Name _
?
?? Address
?' l';v..
Nome _
Address
I hereby acknowledge thot I hove read this epplicotion ond state that
the inlormation is correct and egree to tomply with oll opplicnble
Stnte of Minnewta $tntutea estid City of Eo9an Ordinonces.
Signofure of Permittee
0
?
Repoir ?
Enlarge ?
Move Q
Demolish 0
Grade ?
14 in I
Occuponcy -
Zoning
Fire Zone ?
Type of Const.
# Stories
Assessment
Water S Sew.
Pol ice
Fire
Enfl.
Planner
Council
Bldg. Off.
APC
Sq, Ft.
Fees
Permit
Surchorge
Plan check '
SAC
Water Conn.
Water Meter
Road Unit
Tcta1
A Building Permit is issued to: on the express condition rhnt
all work shall be done in occordante with oll opp{icabls Stote of Minnesota Statutes and Clty of Eapun Ordinances.
8uilding Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 Z? ? R G?tia-? A11 -25-$'
H.V.A.C. (`a
w.u
Watsr
Disp.
Sawer
E?ectric 7'778&=L bPIf
?
3-8'
Inapection Date Insp. Other
B
F E
Rouph HVAC
Inwlation ! d, ??-? ?- ?/ • .
Final Plbp.
tJd
Final HVAC
Final
Wator Dewibe Location:
Well
Sewer •
P?. Disp.
.
Raceipt PLUMBING PERMIT Permit No.
CITY OF EAGAN .
Fee
Fill in numbered spaces S/C
Type or Prini legibty _
Tot. 1. Date ?2. Installation Cost
3. Job Address Lot ? Blk. ? Tract 4. Qwner
-
5. Contractor Phone
6. Address
7. City State Zip
?
8. Building Type: Residential Cl Commercial ? Institutional ?
9. Work Description: New C] Add O Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Flaor Drains
Drinking Ftn.
T Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee ,.:A •
i Fill in numbered spaces 5/C , 50
Type or Print legib/y .
Tot ' 5C
1. Date 'T ` 1 2. Installation Cost
3. Jab Address ''" • Lot Bik. Tract
4. Owner _
5. Contractor - Phone
6. Address
7. City 5tate Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alier O Repair ?
10. Describe . n-•C?,.' FueITYPe
11.
No. Fpuinment 8TU • M. Ea.
Forced Air No. Euuiament CFM
Ai
ndli
H
Mfg. r
a
ng:
Boil.ers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. ?
Mfg.
Gas, Piping Outlets
12. I hereby certify that the ahove information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
`,
1.
3.
4.
5.
6.
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
?
Fill in numbered spaces
S/C
Type or Prin[ legib/y
Tot.
Date 2. Insiallation Cost
Job Address Lot Blk. j i,,,) Tract - '
Owner
Contractor .
"Phone
Address ? ? -
City State Zip
8. Building Type: Residential ?
9. Work Description: New 0
10. Describe
11
Commercial ? Institutional ?
Add O Alter ? Repair ?
N o. Fixtures
Water Closet N o. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : far
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
.? '
' BUILDING PERMIT
cirY oF EACAN
37" Pllet Knob Road Ea4oe, MN 55122
PHONE: 454•8100
?d fer '', 7
Sue A.w•eu :
Lot Block Sec/Sub.
Parcel #
ae Name
W
; Address
U
C1
p Nnme
?? Address
~ Ci
Nome
W W
FW
=i 14ddrEfS
I hereby acknowledga that 1 hove reod this opplication and stote that
the intormotion is correct und egree fo comply with oll epplitable
Stote of Minnesota Statutea ond City of Eeflon Ordinances.
Assessment
Water & Sew.
Pol ice
Fire
Enp.
Planner
CounNl
Bidy. Off.
APC
Permit
Surthorpe
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total
Slpnoture of Permittee I
A Building Pertnit Is issued to: on the expresa tondition thni
oll work shotl be done in accordonce with ull opplicabla State of Minnesota Statutes and City of Eaflan Ordinonces.
Buildinp Officiol
Crossroad
due Receipt
Dote ?
, 19
Erect ? Occuponcy
/11ter ? Zonirg
Repafr ? Fire Zone
Enlarpa ? Type of Const.
Move ? # Stories
Demollah p Length
Grode ? Depth Sq. Ft.
Aporo vala Fees
Permit No. Psrmit Holdar Misc. Permit No
.
Holder
E
DiW.
Electrie TS?O? P hict !D`7_
Irqpection Date Insp. Othe?
Footinp
$? f ? 8/
?
Foundation
Freminp
Rouoh Plb¢ ? •
Rouyh HVA
lnsulnia, .? - VL
Final Plbq. j.
Final HVAC
Final 41
Wour Desaibe Locetion;
Vllell ,
S"wr . ,
Pr. Dfsp.
?
Receipt PLUMBING PERMIT Permit No. •
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y Tot
1. Date ` 2. Installation Cost ?-
?
3. Job Address Lot Blk. Tract _---
4. Owner
5. Contractor Phone
6.
4? - r
7. City - State L Zip -
8. Building Type: Residential b Commercial ? Institutional ?
9. Work Description: New t] Add ? Alter ? Repair ?
10. Describe
11.
No
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
5eptic Tank
Lavatory Softner
Shower Well
c Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT
CITY OF EAGAN
fill in numbered spaces
Type or Print legibly
1. Date - 2. Installation Cost 3. Job Address tot ' Blk.
4. Owner
Permit No.
Fee •
S/C
Tot.
.
Tract
I 5. Contractor .• . . ' Phone
6. Address 4637 Chicago t.ve. :io.
7. CitY - State Zip =`?
8. Building Type: Residential E7 Commercial ? Institutional ?
9. Work Description: New D. Add ? Alter O Repair ?
10. Describe 't.. U-?. ;•r:?? ;_ _ i. !!.'Fuel Type
I 11.
No.
1 Eauioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Air H
ndlin
:
Mfg. g
a
Boilers
Mfg. Mech. Exhaust
Unit Heater
? Mfg.
Air Cond. l.ect?:.c Other
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
4..
BUILDING PERMIT
cirr oF FAc,AN - ?
3745 'ilet Knob Roed Ea9an, MN 5512+. '
PHONEs 454-8100
Site Addrcss
Lot Blxk Sec/Sub. +h
Parcel # I " -
ac Nome Orxin Thampson Homes
W
z Addross 7.712 iImkins Crossroar9
a Name
,o
?? /lddress
F- rz... oL_-'
I hereby acknowledfle thut I have reod this opplicotion and stote that
the intormotion is wrrect ond ogree to comply with all applicoble
Stnte of Minnesoto Stotutes and City of Eagcn Ordinonces.
Sipnoture of Permittee
A Bullding Permit Is issued to: - - -
all work sholl be done in accordonce with oll applicable 5tate of Mlr
Buildinq Offfcio?
Ercd C3 Occupancy
Alter ? Zoninp
Repoir ? Ffre Zone
Enlarpe ? Type of Const.
Move ? # Stories
Demolish ? Length
Grode p Depth Sq. Ft.
Approrols Fees
Assessment _
Woter 8 Sew.
Pol ice
Fim
Enp.
Plonner
Councfl
Bidy. Off. _
APC
Pertnit
Surcharqe i
Plnn check
SAC
Water Conn. - : -
Woter Meter T
Road Unit
Total ?
on the exprcsa conditlon thai
Stotutes ond City of Eeqan Ordinonces.
Permit No. Permit Holdar Misc. Permit No. Holder
Plumbing +'ZS 30 CyEti2-{Z /? ??Z?=$'(
H.V.A.C. q b L() e-A.r IZ
WNI
Water
Disp.
S?wer
e?eccrcc 778'SS 31 f ( tl -13-84
Inspection Date Insp. Other
Footings
Foundetion
Framinq
Rouph Plbp, i
Rouph HVA
In,?lation ??•i - l ei r A
Gi
Final Plbg. -
Final HVAC
Final
Waftr O"cribs Location:
YYelI
Sewer ? -
Pr. D'yp.
Receipt MECHANIICAL PERMIT Permit No. '
CITY OF EA(iAN Fee
Fi/1 in numbered spaces S/C '
Type or Print /egib/y T
t
o
1. Date 2. installation Cost '+''` ? •' "
3. Job Address •Lot ~ Blk. ? Trect
4. Owner
5. Contractor Phone `
6. Address `r-637 Chie:, r, v,?. ??.
7. City ?-- State Zip 5;
8. Building Type: Residential C4 Commercial 0 Institutional O
1 9. Work Description: New Q Add ? After ? Repair ?
? t1c3:
I 10. Describe i:-Ceci `di Fuel TYPe
I 11.
No. Equinment BTU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
? Air Cond. ? j,, ' _? - - -
Mfg,
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : f-
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. '
CITY OF EAGAN Fee
Fiil in numbered spaces S/C
Type or Print legibly
Tot. _` ..'
. ?. /
1. Date L%2. Installation Cost ?'
?.
3. Job Address Lot r^' Bik. Tract`-
4. Owner
5. Contractor •-' %?''L ` ?//!?'Y Phone ^ ? JJ?
6.
7. City??? State ZiP
8. Building Type: Residential ?C7 Commercial ? Institutional ?
i"
9. Work Description: New,? Add ? Alter ? Repair O
10. Describe
11.
No.
/ Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
" Bath tubs Septic Tank
? Lavatory
Softner
Shower Well
Kitchen Sink
? UrinaUBidet Other '
Laundry Tray
r
Floor Drains '
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date ?nsp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print le{/ibly Tot.
1. Date ( 2. Installation Cost
3. Job Address Lot E?Z Blk. Tract
4. Owner
5. Contractor • Phone ' 6. Address t {'
z . r'.
7. City " - - State Zip
8. Building Type: Residential Cl Commercial O Institutional ?
9. Work Description: New O
1 10. Describe
I 11.
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
l/D
C
i
fi
ld
Bath tubs esspoo
ra
n
e
tic Tank
Se
Lavatory p
Saftner
Shower well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remark,
Addition Ridgecliffe 4th Addn. Lor 4 ik 16 Parcel 10 63983 040 16
Owner straat ??T.S? F lor ?} r• State
I Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAfV SEW TRUNK 1 95.95 C007109 3 27 81
SEWERLATERAL 19 8 2 652.71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA C007109 3 7 8I
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN.
335.00
BUILDING PER. 6819
SAC 525.00
PARK
CITY OF EAGAN + Remarks
Addition Ri g,?gecl i ffP tlth Arldn _ Lot 1 alk 16 .110 63983 010 16
Owner ? 1 ?Yl ? ?L. F 4 -l l (0 ?..?. ?, Y,-?
? . " ??'? Street State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F,
STREET RESTOR.
GRADING
i
SAN SEW TRUWK 1980 110.69 7.38 15 95.95 C007109 3 27 81
SEWER LATfRAL /1 1982 652.71 s 652-71 C007616 12-2S-R1
WATERMAIN
WATERLATERAL 19$2 630.40 5 630.40 12-23461
WATER AREA 9 ? 110.69 7.38 j5
Services 1982 637.75 5 637.75 12-23-91
STOFM SEW TRK 1982 346.09 5 346.09 07 6 12-23-81
STORM SEW LAT
CURB & Gl1TTER
SIDEWALK
STREET LIGHT
WATER CONN. 335 00 - 11
BUILDING PER. 6$16
sa,c 525.00
PARK
CITY OF EAGAN Remarks
AdditionRgec1 iffe 4th Addn. I os 2 Rik 16 . Parcel 10 63983 020 16
Dwner b !!ul?4d,(,l Street `I ? le- Lo- y,?
5
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 g g5 C407 09 3 27 81
SEWERLATERAL 1982 652.71
WATERMAIN
WATERLATERAL 19$2 630.40 5 630.40
WATER AfiEA 1980 110.69 7.38 15 95.95 0 9 3127/81
Services 1982 637.75
STORM SEW TRK 1982 346.09 5. 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 26297 8-14-81
WATERCONN. 335.00 fr
BUILDING PER. 6817
sAC 525.00
PARK
'fTY OF EA6AN
?NATER SERVICE
PERMIT ?
3795 Pilot Knob Road PERMIT NO.: .
Fagan, MN 551?3 DATE: , . ,
No. of Units:
Zoning:
?
-
Owner;
Address: C
- t `_ ? •. . .
Site Address:
Piumber:
Connedion Charge:
Meter No.: Accourrt Deposit:
Size:
Reader No.: Percnix Fee:
1 a9roe to aomPl71 wilh flr Cify of Eogan Surcharge:
Misc. Char9es:
OedinaneaW.
Total:
. . Dnte Paid:
BY
pate of I nsp.: .
OF EAGAN
poot Knob Road
1, MN $5122
r ry
ig: ??rr
r:
ess: ?------
-,
Address:
?
PERMIT NO.:
DATE: 1
No. of Units: -
-, .o;l -
'lumber:
agroa to eompip with'the City of Eagan
ordinanCes.
By
Date of Insp.:
Insp..
CITY OF 'tEAGAN
3795 Pilot Knob Road
Eagon, MN 55122
7 ..
Zaning: `
Owner;
Address: _
Slte Address:
Piumber:
Meter No.:
Size:
Reader No.:
1 agres to wn+PlY with liia Ciry of Eaqon
Ordinanees.
By
Dote of Insp.:
.,4 dnecliff
, ., ? i'•? '
Connection Chorge:
Account Deposit:
PermiY Fee:
Surchorge:
Misc. CF?orges:
Total:
paft Poid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
_ Con?iection U'?arge: .
_ Account Deposit:
_ Permit Fee:
Surcharge: .
Misc. Chorges:
Totol:
_ Date Poid:
_ Insp.:
CITY OF EAGAN SEMIER SERVICE PERMIT
8745 Nfet Knob Rood PERMIT NO.:
Eagqr, MN 56122 DATE:
Zoninp: - No. of Units: • . ` " . ,
Owrx.r: ?,.. . ,t
Address:
, - , -• - are I,ane L;' '' '•cclif.`a r?.
Site Address:
Plumber. -
.,-,
I egne to eanPly wieh eM Cihr of Eeooa Connection Chorpe: L .1 . 00
Ordlneneas. Accaunt Deposit:
Permit Fee: ?
Surcharge:
BY Misc. Chorges:
Dote of Insp.: Total:
OF EAGAN WATER SERVICE PERMR
?ilat Knob Raed PERMIT NO.:
, MN 55122 DATE:
T.?
7% .. NO. Of UflltS: ? . .
t. ! . . . , . . ?? .
No..
te canpip wi11i Nhe Gry ef Ee9ew
COnf1@Ct1011 ChOfg8:
/,CCOUfIt D2pOSit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Total:
Dnte Paid:
i:ITY OF El?GAN as1i° ?"" ¦"? ` `'""•••
8795 Pilof Kwob Read PERMIT NO.: t;
?
Ee9an, MN 55122 DATE:
Zoning: No. of Un[ts:
Owner: -
Address:
. _ ,
SiM Address: - Y
Pl umber:
1 eyree h eompir wkb the Cify of Eagan Connection Charpe:
Otdieane". Acwunt Deposit:
Permit Fee:
Surcharge:
By Misc. Cha?ges:
Date of Ins
: Total:
p.
Insp.: Date Pcid:
REQUEST FOR ELECTRICAL INSPECTION EB-WD01-03
?p N'.
{? -' ?3 8 5 5' See instructions ior completin9 this form on bnck of yellow copy u"X'" Below Work Covered by This Request a`77 ((1S
Nay, , dd Hep. Typ¢ of Building Apoliances Wired Eqvinment Wlred
Home Range Temporary Service
Duplex
Apt. Buildmg
CommerCial Bldg. Watei Heatcr
Dryer
um2ce Liyhtiny Rztures
Electnc Heetin
Silo Unloader
Industnal Bldy. Air Conditioner Bulk Milk Tank
Farm Other Spen v OthoriSpe, ityl
turr pecify) Othor Othpr
Cnrripute Inspectron Fee Below
p Fea ServiceEntranceS.ze !I Fe.x FnaderelSUhfenders C Fee Cvcwfs
t0
CIfC.
$30.j0 I TOTAL
I, tM1e Elecvlcal
?nspeceu., he.env
certifY that the above
?ion hes been
nus requect vo
18 mnnths trum
ciTr oF EAGaN No ? 6817
9795 Pllof Knob Raad Fagan, MN 55123 -
Te ba uwd fer 1 0PNODlE: 4346100 Receipf # C.?? 7/
BUILDING PERMIT
-^?? ? l,?
r
$IF! AddIG55- '/i+v a?cawac uaaac ?. a'av. tu et
Lor 2 Block 16 Seclsub. Ridgecliffe 4th
pa,c,i # 10 63983 020 16
rc Name "+aiu iuwuro?aa +iv+uc?
Z Address 1712 HOpki718 Crossroad
9 _. I.__ ecn. e _. ei i neoe
g Nome O7nel'
?? Address
f fu.. D6nne
Name _
Address
I hereby acknowledge thot I have read this upplication ond stare thot
fhe inlormation is correct ond agree fo comply with oll opplicable
State of Minnesota Stotutez and City of Eogan Ordirwnces.
$ipnoture of PermiMee
A 8uilding Permit Is issued to: M'rin ?
oll work sholl be done in eccordonce with oll
Building Officioi I
erecr 11 o«uvancv R-3
Alter ? Zoning PD
Repoir ? Fire Zone NA
Enlarge ? Type of Const. 0
Move Q # Stories
Demolish ? Length z
Grade ? Depth?-Sq. Ft._
Approrals Faes
Assessment _
Wofer 8 Sew.
Police -
Fire
Enp.
Plenner _
Council -
Bldg. Oft. _
APC
Pertnit _233..5()
s,,,c,a,ee 19 _ 5A
Plan check 11ft_75
SAC 575_M
Waht Conn. 335,00-
Woter Meter.An.,.Oe
Rood Unit 185 00.
Torol $1474_75
_ on the exDress wnditlon thnt
City of Eopan Ordinences.
CITY OF EAGAN
314I Pibt Kno6 Rood Eagan, MN 55122
PHONE: 454-8100
BUILp!ING P'EERMIT
Site Addreu f10 i,enore 1.RIlE C. 0.Yl 10 a
Lot 1 Blxk 16 s«Is,b. Ridgeeliffe 4th
Porcel # 10 63983 010 16
W Nome variia 4uwuyaant nvmea
; Addreu 1712 Iiopkins Crossroad
b r,.,.Mtka. 55343 a,,,__ 544-7333
o Name
vu Addre.
r ?:...
Name _
Address
I hereby acknowledge fhot I hove reod this apDlication and state thot
1h6 informafion is correct and agree fo comply with oll opplicoble
Stute of Minnewta Stotutes and City of Eagan Ordinonces.
Signoture of Permittee
A Building Permit is issued ro: OrI'iI1
all work sholl be done in occordonce with all
Receipf #
N° < 6816
Erect [N OccupancY
Alter ? Zoning
Repoir ? Fire Zone
-
Enlarge ? Type of Const. v
Move ? # Stories
Demolish ? length 2
Grode ? Depth-30-Sq. Ft.-
Approvals Fees
Assessment _
Woter 8 Sew.
Police -
Fira
Enp.
Plonner _
Councll -
Bldg. Off. _
APC
Permit ?0?w
Surchorge 19.50
Plan check 116.75
SAC 525.00
Water Conn. 332.00_
Water Merer 60_00
Road Unit 185_00
Totol Rl G7L _ 50
- on the expren Wrdition ?hnt
City of Eogon Ordinances.
Buildinq Official
BUILDING PERMIT
T. M u.d Fer 1 oF
CIT' OF EACaAN
3795 PIIM Kno6 Rmd Eagon, MN 55122
., JlI?NEs 454-8100
Receipt #
PLER
000
Assessment -
Water & Sew.
Police -
Fire
Erp.
Planner -
Council _
Bldg. Off. _
APC
Sita Addrfu 4752 F10PS DT'1V2 CPl4n (O :a) Erect A Omupancy x-3
Lor 4 Block 16 secisun. RidgeclifPe kth Aire, p zo„in9 PD
10 63983 04 0 16 oir
Re ? Pire Zone H&
Porcel # p
Enlarge ? Type of Consf. v _
oc Name Orrin ?lOIDj780II HOID@3 Move ? # Stories
? Addreu 1712 HOD$ iIIS CPUSSP08d Demolish ? Length29_
1,I1+1'e 58; R/.1 ..?___ 5/.L-RT11114 Grade I"l Depth30- Sq. Ft.-
o Name OWTIPT
Address
Name _
Addreu
1 hereby acknowledge thot I have read this applicotion and stote ihat
the informotion is correct ond ogree to comply with all applicoble
Stote of Minnewta Statutes and City of Eagon Ordinances.
Sipnature of Permittee
A Bullding Pertnit Is issued to: ?j]OID28
oll work shcll be done in at? QOnt. e,?vitl I a? mble S?taM of M/ii
BWldinq Officiot .
N° 6819
Permit L33.7U
Surchorge 19.50
Plan check 1.16.75
snc 525.00
Water Conn. 3 35.00
WoterMeter 60_00
Road Unit 185 M
Totol R1 G7G _ 75
on the expreu condition thai
Statutes and City of Euqan Ordinonces.
Thisreauestwid (Ni i31ot k'C'
t P.mo,7h7862 ?-7 7 &s
fle.quest D. ta Fire No. Rouqh-in Insuer,uon
R u retl,
?
f3Re.atly Now?Nl?lI Nnulv Insm•<'-
!m Wh
R
es ?Nn en
eatly
L.censed Ele.ctnwl Conlractoi I hereb
v request insnection ni abuve
? Ownyr electrical work installed at
?t Atldress, Box oi Route No.
?5z- ?wr? DR-??? UtY
?
ectmn o. Township Name or No. Rnnge No. Coy1?'ly ?I`?y?(?
Vvl 10
Ocr.oGant IPFINT)
OfLH Pis "??tones??s S? r? S Phunr N??.
Power?S`ap(0?liar
l `-'IV AcIdraes
EI ?tncal GnMrartor iConOanyNamcl
?? E?? Er-cL Con actor's Licenve No.
3°Vzr-L
Mailing AdJress (Cmvecmr or Owner Makmp Insm'laLOn)
`
t 1 l € C..i-[ kp
l
Au
aID ICo VacmdOwner Makfng InstallaGnn) Phonu Number
? $°1'J -SSaS
MINNESOTp SiATE BOAND OF ELECTNICITY THIS INSPECTION flEQVEST WILL NOT
Griggs•MeAwav BIdO• - Room N-191 gE ACCEPTED BV THE STATE BOAHD
1821 UnivarsiN Ave.. St. PaulMN 55104 UNLESS PflOPEH INSPECTION FEE IS
, '
on,...e IFVI 94J_9111 ENCLOSEO.
Kc(lUEST FOR ELECTRICAL INSPECTION
a ? 7 7B 6 2 See instructions for cnmplehny this form on back oi vellaw cupV
"X'"?Below Work Cnvered by This Request
EB-00001.03
11-7 7c?S
N Add Aeo. Type of Builtlmg Applmncas Wired Equinment Wued
Home Range Temporary Service
Duplex
Apt Bwldmg
Commercial Bldg. Water Heater
Dryer
Fumace Liyhtiny Fixtures
Electric Heabn
Silo Unloader
Industnal Bldy. Air Condrtioner Bulk Milk Tank
F??m Other Speci Y U?herf5peciWl
t or SUOmfy Orhor Oiher
Compute lnspection Fee Below
p Fee ServiceEntrencaSiae N Fee Fnxtlors/Subteeders p Fee Circwts
0 to 100 Am is 0 to 30 Am is ?0 Zrj ? 0 to 30 Am Ps
101 to 200 qmps 31 to 700 Amps 31 to l02 Am s
Abnve 200 qmps Above 100_Amps Ahove 100_Amps
Transtormers RemoteControl Grc. U Par[ial%Ot e
Signs Speciallnspection
TOTA
?'
R
mark L F E
e ???
-
f
'X
flouph-in 1. thn El
eccneal
?i I
areb
nspectoq hy
certily lhai the nbove
Fi°al ms e hon has been
e ? ?Cd nv?da.
This request vaid
18 nionths fram
rnis reauest wid
18 nwnths Gom
7 56995 a-7
equcst Dtrte
[??_?C ?C'
n a Fra No.
. flough-in Inspor,bon
Reav?red?
Reatly Nuw?W?ll Notrty Insoec-
E]
?yus lor When ReatlY
icen5ed Eleclncal Coniractor , I hereby reVUest inspection of above '
Owner . , eloctncal-work mstalled'at '
Street Address, 6ox or Route Nn. City
cl.nn o._ Township Name or No. Rnngo No. ' Cowpy
?
??v
OccuG
n
PP
IN7)
a
t( Phune Nn.
?
p
p
?
/
?ww, p?
VT? `'^? "f?oli y1V?-W
Power SunPlier
04:?& Atld.ess
Ele, cal Convacmr (Company Name)
- E LEaa+-? C?mira?r'?r.nnse No.
w . l
-Mailin'91 Address ICm[raqctocr or Owner Making InstnllanoN
?v
l
?? 1.1SC
?
AUMonzetl Sienat ?IC mractodOwnor aking bns[allationl - POnneNQu`mlber/ c .f ' '
MINIVESOT STATE BOARD OF ELECTRIGTV • THIi IPISPECTION IIEOUEST wILL NOT
..Gripps-61i0waY Blde. - Ib.'N.197- ' . SE ACCEPTED eY TNE STA7E BOAIID
• 7821 Umversity Ave.: St. Paol. MN 55104 ..UNLESS PROPEfl INSPECTION fEE IS
o?......, iatll onz2ttt . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
, See inshuctions for comuleting this lorm on back ot yellow copy.
T -55995 /?
Belnw 4tiork Cavered by 7his Request ?? j(U 7
New Adtl Hep. Type of BwlAing Apphances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightinc Fixtures
Apt Bwlding Dryer Electnc HeaLn
Commeraal BIAg. Fumeace Silo Unloader
Indusnial Bldg. Air CondiLOner Bulk Milk Tank
Parm Dmer Soe"ty ther Ison?,?tv)
? er po?nty Other Othe,r
Compute lnspecuon Fee Belaw
H Fee ServiceEnlraneeS¢e q s/5uhfeeders q Fea Cvcwts
0 to 100 qm s qm s 0 to 30 Am s
101 to 200 Amps 00 Amps 31 to 100 Am
At?qve-26?q?nps N 100Amps
Abo:ve Above 100_Amjs
Control Grc. Partial•'O tbw-Fee
Sign9 i inspection
?
TOTAL FEE
r.
G
fl n?h-in
r Date I, the Elechical
Inspac?oq hereby
certrfy thnt the above
Final L? D%'te
L??S-? inspecpon has baen
made.
This request vnid
18 mnoths hom
This, reQUrst voiA I? I l?
la mmomz o-om ? f (
T=- _7?8'54
U l U??O ? IC ?Cc?I?-1
3,0 c O0
2-77cos
Request Dntn
`,i?^
?
?`-
\ Rre No. Roouh-in In?pecbon
ftnqu rcA?
?FendV Now Wilt NoLtV.InSPec-
V 1'es ?NO [or When RaadY
Wl-i(unsed Electrical Conlractor
I hereby request inspecbon ot above
Owner electncal work insL Iled ar
t AAdress, Bou or Route No.
? 5(71(, uEh?oF-#.? Lta?? City
E?N
ecuon o. TownshiD Name or Nn. Ran9e No. Coun?y
{d?`11V
Dcct^IP^RINTIr
vl \ {I ? IR? 1'?lry+ Phone Nn.
Power SuppliNr
D cok. Address
fF-P'Hnl bTw
Eleclr I Conttau tor ompany Namel
?
?
?
? Convactor's License No.
5-
A30
5'7
t.?._
c-TR4
L 1
-
L
Mailinp AdJress IContractor or Owner Making Instailauonl
F
-i "'4ff- 1 W.
10
Author¢ d Signaw e(Co ractWOwner Mnking Installanonl Phune Number
'::& 8°!Q - 5505
MINNESOTA STATE 90APD OF ELECTRICITV THIS INSPECTION NEQUEST WILI NOT
Gnggg-Midwny Bldg. - Room N-191 gE ACCEPTEU BY THE STATE BOAPD
1821 Umversity Ave., SL. Paul. MN 55106 UNLESS PflOPEN INSPECTION FEE IS
o?___ 1.11, 'ql-1111 ENCLOSED.
qp /? ?i p REQUEST FOR ELECTRICAL INSPECTION ,r;, ee-00001_03
N ?. ?i( ? 4' Sne instruc?ions tor complellng this form on back of VeIlow copy.
'?
0?S V X'" &elaw Work Covered by 7his Request :Z -7 -] (QS
Nyw Add flep. Type uf ewlAing Appliancas Wiretl Equipmem Wiratl
Home R:mge Temporary Service
Duplex
Apt. Building
Commercial Bidg Water Heater
Dryer
Fumace LiyhUny Fixtures
Electnc HeaUn
Silo Unloader
Industnal Bldy. Air Condrtioner 8ulk Milk TaNc
Parm 00n,r _Pv,tv; Mner lsoec,fvl
ther ISVeri(y pthar 01he.r
Cnrnputv lnspectron Fee Below
u Fee Service EntranceSize t{
1 Fee Feeders/Svbfenders H Fee Circwts
Q 1 U to 100 y-f ` 1\ 1 0 to 30 qm ps ;S 0 tn 30 Am ps
?- , 101 1012001M1ps 37 to 100 qmps 31 to 100 qm s
? " `Ahoye,200 q' Above 100_Amps Above 100_Amps
Tr3q5fo'nue Remote Control Circ .S? P2rtial-'Other Fee
Si tris Special hispection
0?
5
tten. arks 3 TOTAL F E3or0
, Fou9h-m . .
v D:na ? v
the Electncel
Insvactor, hereley
cerUty tha[ Lienbpv¢
I F'^?q I ( ???P/?J ectiun has been
, ??1? / made.
Th, re Ncr vnvi '
18 months fiom
Th i s re4 ues t vo i,l 1(// 3
ie monms fio•:,
? N$55
L .21 b i& f F? kc, l(-?? 36, c? cD
.Z7 -7 6- s
RaquW Uate
(?
-j( `?'
1 I- Rre No. Rn h-in InsVecuon
Ro ire•d?
?RUaAY Now Will Nouty, Inspec-
n R
v Wh
d
v/ es ?No e
ea
y
icensed Elec[ncal Contractor 1 hgreby request ins0ec<ion ol above
?'Owner electrical work inslallad aD
c Adtlress, Box or qou[e Nn. City
ecuon u. Township Name. or No. 7e No. Comi
Orcu?/j? ?1 ,((P?FIN?T1)
V{ \ l•- ?v\1)VI`? ?iR?l Pnone N?+.
Power SuPVlier
KR Adtlress
1 Iw ' •? ?
Elect I Contrac[or ICompany Namal Con1r mr's Liconse No.
35j-zs-z
E-u?
Mailin AdJress ICOntractor or Owner Makiny Instaila[ionl
?41 ?. C ff NsD
Auth?nVac,or/Owner Makiny Installauonl Phmie Numbor
15
MINNESOTqJSTATE BOAPO OF ELECTflICITV -THIS INSPECTION REQUEST WILL NOT
Griges-Midway Bltlg. - Room N•191 BE ACCEPTED 9V THE STATE BOAND
1821 UniversitV Ave.. St. Paul, MN 55104 UNLESS PFOPEH INSPECTION FEE IS
o.__., 1a11, v17_1111 ENCIOSED.
CITY OF F.AGAN Include 2 sets Of plans,
. / t? ?? x ' • 1 site plan w/elevations 6
SUIIDINC; PERMSt A'PPLICATION 1 set of energy calculations.
? -a?- ? 3??Up?
'PO Be Used For .S' ``/ Valuation$?rOb Date
Site Address: ?-EN F?a OFFICE USE ONLY
Lot ?Elock {o ,sec./siab. R?or.E41.?FFS Erect x OcojtancY -3
Parcel ! 6(P .30H-3 G f 0 iW Fa,.R'N k1 Alter Zoning
Repair Fire Zone /
Q,mer: Enlarge _ 'Iype of Const.
Nbve # Stories
Pddress • a Division of U. S. Hc? C
nrltinn Denolish Front 'Z ft.
KINS CROSSROAD GTdC?2 D2j?th , 3(S ft.
CiLy/Zlj? COCl2: MINNETONKA. MiPdN 55_?q3
Phone # : 5'# 4- 133 3 APPRDVALS
Contractor: gRRIN T#8,^,4rPS9;Tl-19hrES
Address: a Division of U, S. Homz Corporation
City/Zl.p Code: MINNETONKA, MiNN, 55343 _
Phone #=
Arch./Eng.:
Address:
City/Zip Code:
Phone #=
? 111 `7 1 ? , c1c) ?-?1a1 Fc-
Assessments
Water/Sewer
Polioe
Bldg. Off.
APC
Fire
Eri4 •
Planner
Council
Pez,nit .so
Surcharge ? 9
Plan Q72Ck
sAC 5as- -°
Wates Conn. 335 ?
Water Meter zo?o
-
Raad Unit / y5 ?17
'It7fAL
l
O-Jr\? Lc' ;? crrr OF EAcr,rr Include 2 sets of plans,
-• 1 site plan w/elevations &
??? f oG C? ?`? X BUILDINC; PEFtttIT A?'PLICATION 1 set of energy calculations.
ro-4-'a
'Ib Be Used For n`
jZ?tiD?tic?? % Valuatios 0 Date
site ss: g??vo4LF.LN. (]o`kaN) oFf'ICE USE ONII,Y
Iot lock J?/ Sec./sub. R?2r-?.?FFS ?? ??cY
Parcel #: f 3oLO (?G 'Vew0.'rh Alter Zoning
Repair Fire Zone
Qaner: Enlarge - ZYPe of Const.
Nbve # Stories
P[3clress: a Division ot U. S. Horne C r Demolish F'ront ?;z`f ft. ?ratinn RiNS CROSSROAD Grade Depth 3lj ft.
Cl?/Zlp COde: MINNETONKA. MIVN 553n2
Phone #: 5`44-1333 rPPROVALs FEES
Contractor: gRRIN TH9(APS9N ! IE?"?-r?----
Ad[lreSS: a Drvision of IJ, S. Nome Corporation
1712 I? ,H
City/Zip COde: MINNETONKn, MINN. 55343
Phone #:
Arch. /E.lng. :
Pddress:
Assessments Pesmit o23,3?
Water/Sewer Surcharge ? q 310
Polioe Plan Check?
Fire SAC SaS ",
Enq, Wates Conn. 4 S
planner Water Meter !„ o
Council Road Unit /g S"""
Bldg. Off.
APC _
Gity/Zip Cocle:
Phone #:
IMaL 1 ?Z ? `Z j
L.cnc?C ?st. ? .
CITY OF EAC',AN
Include 2 sets of plans,
t(? ??
??? ?/F x BETIF.UI?IG I .
Pf.'RrtIT APPLICATION 1 site plan w/e]
1 set of enerqy evations &
calculations.
'Ib Be Used For 1 •?\ YG ??'J G
VskDrLmeg p' Valuation 4=
- Date Qj -iii2 -9
I
Site ? P p14? OFFICE USE dDII.Y
Lot? VL_ /su b. R?oGEC1 .?FFZ ?? l? occunancy
Parcel #: liie F 0..` A l t e r Z o n i n g
?
TS Zr?O r(? ? Enlarge
, TyPe of Const.
Oaner• # St
i
Move or
es
Pddress: a Division ot U, s. Hom> C r DPSnolish Fmnt 91 ft.
C1ty/Zip C0d0: 1/1 PKINS CROSSROqD
MINNETONKA
MIN GI'dd2 D2PtY1 30 ft.
N 55" a
.
Phone #: 544- 133 3 APPROVALS FEES
Contractor: gR'RIN TH9MPS9fV I I^oMES-
Pda.L2SS: a Division of U, S. Home Corporation
", CRUZ,UAU
C1ty/Zip CO(j2: MINNETONKA, MINN. 55343
Phone #
Arch. /?.1-ig. :
Pcklress:
City/Zip Code:
Phone #_
Assessments Permit
Water/Sewer Surcharge ?
Police Plan Check
Fire SAC
Enq. Water Conn.
Planner Water Meter
Council Road Unit > k S'
Sldg. Off.
APC
'IC7PAL ( `t ?
?kl-c_ 1"(Ql-?, (.U ?4,, LA'_ ? I ??eC? ((a ? ? ?C: L(
C.R. WINDER & ASSOCIATES, IHC.
LAND SURVEYORS Te1.645-3646
1381 EUSTIS ST.., 57. PAUI, MiNN. 55108
CERTIFICATE OF SURVEY
For:
U. S. FiOME CORPORATION
Note: Bui).dings shown are proposed.
N
Scale: 1" = 20'
o Denotes Iron
c
?
o ?
?
-??
T
o Q
x ?
?
Lots 1 through 4 inclusive, Block 16,
Ridqecliffe Fourth Addition, Dakota
County, Minnesota.
WE HEREBY CERTIFY TNAT THIS IS A TRUE AND COARECT REPRESENTATION OP A SURVEY OF THE BOUNDARIES OF TNE LAND
ASOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated this ?fh, day of ju f;v - D. 192(
C. R. WINDEN 6 ASSOCIATES, INC.
by 2LV2?
Surveyor, Minnesota Registration No. ?
r
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT'. ?
NO. F'IXTURES EAC H T?
SF304VER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3•00
KITCHEN SINK 3•00
LAUNDRY 1RAY 3•00
HOT TUB/SPA 3•00
? WATER HEATER 3.00
FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISF. - newcty. cc. 15.00
U.G. SPRINKI..ER • nome under mnst. 3.00
ALTERATIONS • to austing 15.00
WATER TURN AROUND 15.00
3TATE SURCHARGE , .50
TOTAL:
?
SITE ADDRESS: PiOTELET ROBERT
_1
4716 LENORE IRNE
OWNER NAME:J EqGpN , ss??z I
? H 452-8547 w J ,
INSTALLER•
2905 GA:c.',.n,, SnUTh
ADDRESS: ?G ,?,-?.:,.:.°< •
Crl,y: ZIP CODE:
PI-30NE #: (
SI N URE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
L -2- gL /+0 CfTY USE ONLY RECEIPT #:JW6
SUBD. `µ' DATE:
7995 PLUMBING PERMIT (RESIDENTIAL)
CIN OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
?Jnt I/
a 3.00 x =
Water Hter
ea 3.00 x =
Floor rain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
ings 1.50 x
Sonener
:VO:Eater 5.CC x
fP4at ISpOSB Dakota Cty. license 20.00 =
U.G. Sprinkler' home underconst. 3.00 =
Afterations * to existiny 20.00
Water Turn Around 20.00
STATE S URCHARGE .50
TOTAL ZO- O
SITE ADDRESS: CRRLSaN e .
4718 LENOPE LFMF
E(iGAN . Mtl 55122
OWNER NAME: Hasz-zosa W 726-2901
INSTALLI
STREET ADDRE?
CITY:
PHONE #: (
)
FPF-TMITTEE
STATE: ZIP:
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
I 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ? 3U ' S
Please comple[e for. Single Famity Dwellings
Townhomes and Condos when pernvts are required for each unit
Date
Si
Add
te
ress Unit #
Property Owner ?lsei L-10-? r ?Q?elephone # -2
canrractor SiA1VDARD HEATIiR1GG & AIR CONDITIONING C0.
410 WEST LAKE STREET
Street AddA9NNRAp0LIS MN 55408-2998 City
612-824-2656
State Zip Telephone # ( )
X
The Applicant is _ Owner -
.1"Conuactor _ Other
Add-on, modification or alteration to esisting dwelling unit $ 30.00
X furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total g ?j • S
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan an the Mechanical nat I understand this is not a
pemut but only an application for TT-(Yi t, and woris no to start w' oua tthat the e in accordance with the
appr e plan in the case ofpvork hres a review ail approvt
p
l
? C? ?
Ap licant s'nted Name Applicant's ' e
(0 8W 7
,r/7/? 7j'
2005 RESIDENTIAL BUILDING PERMI'P APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 10 651-675-5694
New Conslrudion Reauiremenis RemodeVReoair Reouiremenis Offlce Use Onlv
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N
(20%maximum lat coverage allowed) 1 set o( Energy CalculaNons for healed additians Tree Pres Plan Recd _Y _ N
,
2 copies of plan showing 6eam &window s¢es; poured found design, elc. 1 site survey foraddiGons & decks Tree Pres Required _ Y _N
1 set of Energy Calcula[ions Add'tlion - irMFcete il on-sde sepOc system On-srte Sep6c System _ Y _ N
3 copies of Tree Preservation Plan'rf bt platted afler7/7l93
Rim Joist DetaR Options selectian sheet (buildings with 3 or less un'AS)
Dateq_/ e)?
Site Address Aj71
6 y,7/,p i , q 7ft Ll -7 ?
ConstructionCost
)* L p„i B/' Pi^ 0 Unit/Ste #
Description of Work IU e6 Ud,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ I _ 2
Property Owner ? c1 11 t /'i F /, ri ,S 9 C . Telephone # (4p 12-) 912, - ?s Z 1?
Contractor '1) i1A,/ m Af/I?! c,..?
Address
State L/f? g - Iq-?!' P,4'% 14
N1 ?? City 1J AST,?S
Zip S.f63 ? Telephone #((p(2 )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residentiai Ventilation Category 1 Worksheel • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of pians.
--b V&A4/? M,411t/) vv
ApplicanYs Printed Name Applicant's Si tur
?
, - 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KWOB RD - 55122 ,
851-881-4875
New ConahucMOn ReaulremeMa .. Re VReoalr ReailremeMs
"ll'?
R> 5 reglatered pte wrveya ahowiny aq. M. of bt, sa. e. a na,se s?ias of ?ar,
and go rooled areas f70% maxlmurn lot coveraaa albwetll 1 set W enargy calculaHOna for heafed addHbin
a 2 cqpiea of plans (ahow beam 8 wtndow sizea; poured fnd. deslgn; etc.) 1 site wrveY for extedor addi6ons d decka
> 1 set ol ensrgy cdculaXOns
n J Coples d hea presarvation plan tt lof plaltetl afler 7/1l93 DATE: 30 "A'4 00 CONSTRUCTION COST: 1?? ?0?.60
DESCRIPTIONOfWORK: F' 4TE-rz(oQ- i?c?'r?2?T?dr?15 -Siott?Au
STREET ADDRESS: U-4 1 l0 1? K.1 L
--
LOT: I_ BLOCK: I Lo SUBD./P.I.D. #: 121 L7laC-Cl-4 EF(; L-l 7'
PROPERIY
OWNER
COMRACTOR
ARCHITECi/
ENGINEER
Name: Phone #:
Laaf Flrst
Streef
City
State:
Ilp:
Company. F? ?2 u4 r? ?st? NO«nCs WC- Phane f: lo i a Lk !!)5 - a- + Lf 2> _
(area code)
,oq 91 ? Ucense #Lva`E Fxp.
Sheef Address: 1 ? (et? 1,
CNy 6x?rJSU i i..t-? State: tMt---l Zip: SS 33 -+
Company: Name:
Telephone M: ( )
Sfreef
CMy
Sipte:
Sewer/water licensed plumber (H installina sewer/waterl: Ph°^e #:
Zip:
f hereby acknowiedge ihot i have read this appllcalbn, state ihallhe Wortnal'wn is ccned. and agree fo comply wiTh ap apPUcable StatE
of Minnesota Stalufes ond Ci1y of Eagan Ordinancea
Signalure of Applicant ??1??
OFFICE USE ONLY Dm ?jG m LI 1J m [
Certificates of Survey ?teceived _ ves _ No ' OE C 1 1 200D
Tree PreseroaUan Plan Received _ Yas - No _ Not Required
RegishaHon M:
'A7: 7MIA OLStN, UPII.IT1' DZI.IS.'VG CZ?..'4IC
BUIIDPIG IIISPECTIIN DE?FiK-
" BILL BRA.'1QI, SL'PER327I':.?IDF+VT CF PLBLIC NiURKS
f?.Trii: 'IIi(SAS A. COIBELQ, DIRECMR ClE' PCBISC WORRS
DATE: SE.P'MSER 10, 1981 ` .
FE: RILXECS,IFFE 1SP ACDITICN 1 ,
Because the follo.ring list of lots in Ridgecliffe lst Additicn does
not have 5zavity sewer outlet at this ture, the following proce-
chses will be initiated tmtil furthes notice:
UPILITY BII.L=
No water tum-uis will be allowed prior to 8-1-82 or Lmtil sewer
is available in these azeas. -
BUII.^.L`+G rSPEC^ICN
Builclinq pencdts can be issued for these lots, but the builder
should be infonred at tir.e of pe--^ut issianoe (per'^aps stanvir.q
the buil'c,ing perniit with ":VO (XXI.'PA`.CY PT,tIGR TO 8-1-82 OP. G:VTIL
SE.ti'ER.IS AVAII,=") the restricticns ai sewer availability.
P"AL"MLa.'?G° CEPAF--'F-14P
See both utility billing and buildirig inspection above.
The lots with these restrictions are as follows:
.&o _
IaI`" 1-9, HICJC!'R 7 Lo-k- ;a
Zp?'S 1-6, BIOCC 8 Lo? l-?
IC7P5 1-7 BIfJG`C 9 - `
717"PS 18-23 BLOCK 9
LO'I5 10-16 BLCCK 10
IOfS 1-10 BLCC'1c 5 .
7OI5 1-4 B7AC'?C 6 .
LC7i'S 1-6 BLCC..'`c 12 •
Lc7t5 1-17 BLOC..?{ 13 _
an@ are also indicated an the attac`ed mps. _
$loc?C zk'??CFF? `t?'1.?
P? lo?k ( ?:???cI?FF G?'-L`
jac
ADDRESSES OF LOTS IN RIDGECLIFFE FIRST ADDITION AFFECTED HY THE UNAVAILIBITY OF SEWER
OUTLETS i]NTIL AIJGUST 1, 1982
Lot Block Address
1
2
3
4
5
6
7
S
9
10
1
2
3
4
1
2
1
z
3
4
5
6
7
18
19
20
21
22
23
5 1719 Forssa Way
5 1773 Covington Lane
5 1769 Covington Lane
5 1765 Forssa Way
5 1761 Forssa Way
5 1753 Forssa Way
5 1743 Forssa Way
5 1739 Forssa Way
5 1733 Forssa Way
5 1725 Forssa Way
6 1766 Forssa Way
6 1762 Forssa Way
6 1758 Forssa Way
6 1756 Forssa Way
7 4750 Narvik Drive
7 4754 Narvik Ih'ive
7 4758 Narvik Drive
7 4762 Narvik Drive
7 4766 Narvik Drive
7 4763 Flora Drive
7 4755 Flora Ilrive
7 4753 Flora Drive
7 4749 Flora brive
$ 4749 Narvik Drive
8 4751 Narvik Drive
8 4753 Narvik Ilrive
8 4759 Narvik Drive
g 4763 Narvik Drive
8 4765 Narvik Drive
9 4738 Narvik Drive
9 4742 Narvik Drive
9 4727 Lenore Iane
9 4721 Lenore Lane
9 4715 Lc3nore Lane
9 4711 Lenore Lane
9 4701 Lenore Isne
9 1823 Karis Way
9 1827 Karis Way
9 1831 Karis Way
9 1835 Karis Way
9 1839 Karis Way
9 1847 Karis Way
I.at Hlock Address
10 10 1822 Karis Way
11 10 1826 Karis Way
12 10 1830 Karis way
13 10 1834 Karis Way
14 10 183$ Karis Way
15 10 1842 Karis Way
16 10 1846 Karis Way
1 12 1843 Covington Lane
2 12 , 1839 Covington Lane
3 12 1833 Covington Lane
4 12 1827 Tampere Circle
5 12 1823 Tampere Circle
6 12 1819 Tampere Circle
1 13 1815 Tampere Circle
2 13 1811 Tampere Circle
3 13 1807 Covington Lane
4 13 1801 Covington Lane
5 12 1797 Covington Iane
6 13 1795 Covington Lane
7 13 1791 Covington Lane
8 13 1718 Forssa Way
9 13 1722 Forssa way
10 13 1726 Forssa Way
11 13 1730 Forssa Way
12 13 1734 Forssa Way
13 13 1738 Forasa Way
lk 13 1746 Forssa Way
15 13 1750 Forssa Way
16 13 1752 Forssa Way
17 13 1754 Forssa Way
AISO: RII7GECLIFFE FOURTH
1 16 4716 Lenore Iane
2 16 4718 Lenore Lane
3--- 16--- - -4754_ Flora,_Drive
`
-
?y --
16 _4752_ Flora Drive_ ?
RIDGECLIFFE FIFTH
1 15 1802 Covington Lane
2 15 1798 Covington Isne
3 15 1796 Covington Lane
4 15 1800 Covington Lane
s- q U. o()
t of Balan
3830 Pitot Knob Road
Eagan MN 55122
Phone: (651) 6754675
Fau: (651) 675-56.94
,,? 49 38
? _`__' - ?
?
,
^ eq?? i
; Pamt Fac
,
; DUW Received: ;
! i
I - _.._----------°-'
2008 RESIDENTIAL BUILDING PERMIT APPUCATtON
oee: i c? l aa-!oK siteaaaHIMs:
fwwd:
Ph": Lia -ajo -z(?70Ql
RESIDENT t OWNER Name: t
Address ! City / Tp:
Appfcant is: , Ovmer _X,. Contraa0r
TYPE OF WORK Description of woric: T_tA f2 C?? ? RV i1
Conshix?ion Cost: C'Y? 00_ MuitbFamdy Buiid(n9: lY?-/ No
t Ixense#; %?•??°??8?
CANTRACTOR Name: - -
?,: ??It _stste:.MN-?r
Phone:(o61•421•M3PtJ CortactPerson:_,?•l5??
COMPLETE THlS AREA ONI.Y (F z-gNSTRUCTING A N W BUILDING
M{nnesoffi RuM 7670 Cateaorv 1 MinnR.o RUM_7=
Energy Code • RoOdenuar veMldon.caAMIworW" -• N&wEMWCO&wodWNW
Category Subrilmd ?
(J wbmission type) 'aww E^'w0P° CalculatiIX'a SubmiKed
In the ie&t 72 rtwnths, has the Cily of Ea9an ioLad a PanK fer a Simtiar plan besad on a m6stK P1m?
_Yes _No It yPS, dafe end addcess of nteSter plan:
t,icermd Plumber: Phorte:
Meehenie8l ContraCtOrs ?one:
Sewar & wator Conuactor.
aduiowletlge thst dps infrnmeOn a eatvl8le 9nd acrartsos; maz ihs xoiAC M4q b0 k1 cartFOrtnanCO w"h tlie agrrem8 and ta06s of ft Gry ar
ao?rden?ce N9n, me ??proved ? ?? tl Case? a?ww?k when re?qNres a ? qpvm a? m st?t w76?an a yemia: u,at me ,xak wwffi oe m
x M _ CIAHMlk(}A x?
AppiicaM's Printed Name APVlieacd's Sigrmwm pege t of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146359
Date Issued:10/20/2017
Permit Category:ePermit
Site Address: 4752 Flora Dr
Lot:4 Block: 16 Addition: Ridgecliffe 4th
PID:10-63983-16-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Virginia Morgan
4752 Flora Dr
Eagan MN 55122
(651) 261-0157
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature